Displaying 211401-211410 of 1611142 results.
ID:
211401
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211402
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211403
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211404
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211405
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211406
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211407
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211408
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
211409
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
485486
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211410
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
485485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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